IndividualActive
Jill Jackson, RN
NPI 1972333870 · Emergency Registered Nurse · Louisville, KY
Provider details
- NPI number
- 1972333870
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1152343 (KY)
Specialties & taxonomies
Nursing Service Providers
Practice location
1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone: (502) 361-6391
Approximate (ZIP-level) locationGet directions
Mailing address
1958 Deer Park Ave Apt 1
Louisville, KY 40205-2265
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.